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Questions 149

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Question 1 of 5

A nurse creates a care plan for a client diagnosed with a cerebellar brain tumor. The correct nursing diagnosis for this client is 'Client at risk for injury related to

Correct Answer: A

Rationale: Cerebellar tumors impair coordination and balance, increasing fall risk, making 'impaired balance' the most relevant diagnosis.

Question 2 of 5

The nurse is caring for a 6-year-old client admitted with the diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?

Correct Answer: A

Rationale: Cleansing the eye removes exudate, ensuring effective administration of eyedrops for conjunctivitis.

Question 3 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

Question 4 of 5

A client hospitalized with renal calculi complains of severe pain in the right flank. In addition to complaints of pain, the nurse can expect to see changes in the client's vital signs that include:

Correct Answer: B

Rationale: Severe pain from renal calculi can cause increased blood pressure due to sympathetic nervous system activation and stress response.

Question 5 of 5

A client with terminal lung cancer is admitted to the unit. A family member asks the nurse, 'How much longer will it be?' Which response by the nurse is most appropriate?

Correct Answer: C

Rationale: This response acknowledges the family's concern, provides an honest answer, and opens the conversation to address their specific worries, promoting therapeutic communication.

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